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Journal : Journal Medical Informatics Technology

Identifying Barriers to Optimal Pain Management in ICU Nurses: A Cross-Sectional Analysis Iklima, Nurul; Maidartati, Maidartati; Irawan, Erna; Nurlianawati, Lia; Nuryanti, Lisna
Journal Medical Informatics Technology Volume 3 No. 1, March 2025
Publisher : SAFE-Network

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37034/medinftech.v3i1.67

Abstract

Pain is a sensitive indicator in the nursing process, so assessment and pain management are the key factors to determining the quality of care and patient satisfaction, especially in critical care areas. The poor handling of pain can have a negative impact on critical patients. Pain management is influenced by internal factors and external factors. Internal factors are knowledge and attitudes while external factors are factors of organizational support and professional authority. This study aims to analyze the factors associated with the implementation of pain management. This study is a quantitative study with an analytic correlation design. The total sample of 84 nurses was taken using the total sampling technique. Data were collected using five questionnaires, namely Regarding Pain Knowledge and Attitudes Survey questionnaire, Perceived Organizational Support, Nursing Autonomy, and Current Practice Related to Pain Assessment and Pain Management. The results showed that the implementation of pain management was quite optimal (51.2%), factors related to the value (p <0.005), The dominant factors contribution score (35.7% for knowledge). The implementation of pain management is quite optimal, but there are some obstacles related to the implementation of pain management including knowledge, attitudes, and professional authority. Nurses are expected to increase their knowledge and competence through education and training to maintain the quality of the implementation of pain management.
The Impact of Early Weaning on Nutritional Status of Children Aged 6–24 Months in Cinambo Maidartati, Maidartati; Iklima, Nurul; Irawan, Erna; Sari, Putri Puspita; Wijayanti, Anita Putri
Journal Medical Informatics Technology Volume 3 No. 1, March 2025
Publisher : SAFE-Network

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37034/medinftech.v3i1.69

Abstract

The weaning period is critical as it marks the transition from breastfeeding to solid foods, during which infants are particularly susceptible to nutritional disorders. The optimal weaning age is generally around two years, as breastfeeding until this age significantly supports a child's growth. Factors influencing weaning include parental education, economic status, parental employment, and the age of weaning. The timing of weaning is related to nutritional status since a child's diet shifts from exclusively breast milk to a combination of breast milk and solid foods, with increased energy and nutritional needs. This study investigates the relationship between weaning age and nutritional status in children aged 6-24 months at Puskesmas Cinambo, Bandung City. Employing a cross-sectional analytical design, the population includes mothers of children in this age range, totaling 534 respondents. Accidental sampling yielded 118 respondents over one week. Data were collected through questionnaires and analyzed using univariate and bivariate methods, with significance set at p<0.05. Results indicated that 52.5% of respondents had normal nutritional status, while 47.5% were undernourished. Most weaning ages were found to be inappropriate, with 66.1% weaning before the recommended age of 24 months. The Spearman Rank test revealed a significant relationship (p=0.020), confirming H1. In conclusion, there is a relationship between weaning age and nutritional status in children aged 6-24 months at Puskesmas Cinambo. Health services should provide regular education on appropriate weaning practices to enhance the nutritional status of this age group.